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Nonlaser Transurethral Resection of the Prostate

  • Alexis E. TeEmail author
  • Dominique Thomas
  • Bilal I. Chughtai
Chapter

Abstract

The monopolar loop electrode has been the cornerstone of surgical treatment for benign prostatic hyperplasia (BPH). However, it is not perfect and is associated with well-known complications that have spurred a plethora of alternative advancements in the surgical management of BPH. Two nonlaser transurethral prostatectomies are the bipolar transurethral resection of the prostate (biTURP), which is an endoscopic technique similar to monopolar TURP, and Aquablation, which is a surgeon-planned, image-guided, and robotically executed technique to resect prostate tissue using a high-velocity waterjet. We describe key steps in the preoperative, operative, and postoperative settings with particular focus on the surgical technique and patient preparation for these two procedures. In addition, we outline key studies characterizing efficacy, durability, and safety outcomes for both techniques. Both procedures have similar indications while patient selection criteria may differ slightly.

Keywords

Bipolar TURP BPH Bipolar TURP technique Aquablation Complications of bipolar TURP and Aquablation 

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Alexis E. Te
    • 1
    • 2
    Email author
  • Dominique Thomas
    • 3
  • Bilal I. Chughtai
    • 4
  1. 1.Brady Prostate Center and Urodynamic LaboratoryNew YorkUSA
  2. 2.Department of UrologyIris Cantor Men’s Health Center, New York Presbyterian Cornell/Weil Cornell Medical College of Cornell UniversityNew YorkUSA
  3. 3.Department of UrologyWeil Cornell Medical College of Cornell UniversityNew YorkUSA
  4. 4.Department of UrologyNew York Presbyterian Cornell/Weil Cornell Medical College of Cornell UniversityNew YorkUSA

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